Reducing Blood Culture Contamination Rates: Experiences of Four Hospital Systems

Infectious Diseases and Therapy

Arthur E. Crist¹  Robert L. Sautter²  Diane C. Halstead³  James W. Snyder⁴  Irving Nachamkin⁵ 

[1] Department of Laboratory Services, York Laboratory Associates at WellSpan Health System, York Hospital;Department of Microbiology, Carolinas Pathology Group;Division of Infectious Disease Diagnostic Laboratory Service, Southeastern Pathology Associates at Baptist MD Anderson Cancer Center;Division of Microbiology and Molecular Diagnostics, University of Louisville;Perelman School of Medicine, Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, University of Pennsylvania;

关键词: BCC benchmark;    Blood culture contamination (BCC);    Interventions;    Multidisciplinary team;    Performance improvements;   

DOI  :  10.1007/s40121-020-00299-1

来源: DOAJ

【 摘 要 】

Abstract Introduction Blood cultures (BCs) frequently become contaminated during the pre-analytic phase of collection leading to downstream ramifications. We present a summary of performance improvement (PI) interventions provided by four hospital systems and common factors that contributed to decreased blood culture contamination (BCC) rates. Methods Each hospital independently formed a multidisciplinary team and action plan for implementation of their intervention, focusing on the use of educational and training tools. Their goal was to significantly decrease their BCC rates. Pre- and post-intervention data were compared during the sustainment period to determine their success. Results All hospitals met their goals of post-intervention BCC rates and with most achieving and sustaining BCC rates ≤ 1.0–2.0%. Conclusion Our report highlights how four hospitals independently achieved their objective to decrease their BCC rate with the support of a multidisciplinary team. We propose a benchmark for BCC rates of 1.5 to < 2.0% as achievable and sustainable.

【 授权许可】

Unknown